Korean J Nosocomial Infect Control.
2006 Dec;11(2):79-86.
The Nationwide Surveillance Results of Nosocomial Infections along with Antimicrobial Resistance in Intensive Care Units of Sixteen University Hospitals in Korea, 2004
- Affiliations
-
- 1University of Ulsan, Korea.
- 2Holy Family Hospital, The Catholic University of Korea, Korea.
- 3Our Lady of Mercy Hospital, The Catholic University of Korea, Korea.
- 4Serverance Hospital, Yonsei University, Korea.
- 5Dong-A University Medical center, Korea.
- 6Chonnam National University, Korea.
- 7Korea University Guro Hospital, Korea.
- 8Inha University Hospital , Korea.
- 9Chungnam National University Hospital, Korea.
- 10Gangneung Asan Hospital, Korea.
- 11Seoul National University, Korea.
- 12Samsung Medical Center, Korea.
- 13Asan Medical Center, Korea.
- 14Pusan National University Hospital, Korea.
- 15Kangnam St. Mary's Hospital, The Catholic University of Korea, Korea.
- 16Hanyang University medical center, Korea.
- 17Ajou University Hospital, Korea.
- 18Kyungpook National University Hospital, Korea.
- 19St. Mary's Hospital, The Catholic University of Korea, Korea. fire@catholic.ac.kr
Abstract
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BACKGROUND: This study was to evaluate a nationwide nosocomial infection rate and antimicrobial resistance in intensive care units(ICUs) in Korea.
METHODS
The study was carried out at 16 university-affiliated teaching hospitals from July through October 2004. We performed a prospective multicenter study to investigate nosocomial infection rates, device-associated infection rated, and causative pathogens and their antimicrobial resistance.
RESULTS
The urinary tract was the most commonly involved site. Nosocomial infection rate was 12.48 in medical. ICU (MICU), 9.59 in medical surgical ICU (MSICU), 14.76 in surgical ICU (MSICU), and 11.60 in other lCU. Device-associated infection rates were as follow: 1) rates of urinary catheter-associated urinary tract infection were 4.26 in MICU, 3.17 in SICU, 4.88 in MSICU, and 5.87 in other ICU; 2) rates of central line-associated bloodstream infection were 3.24 in MICU, 1.56 in SlCU, 2.36 in MSICU, and 1.78 in other ICU; 3) rates of ventilator-associated pneumonia were 3.61 in MlCU, 13.05 in SICU, 1.68 in MSICU, and 4.84 in other lCU. Staphylococcus aureus was the most frequently identified microorganism in this study; 93% of S. aurues were resistant to methicillin; 17% of Pseudomonas aeruginosa isolated were resistant to imipenem; 11% of Enterococcus faecium and 18% of Enterococcus faecalis showed resistance to vancomycin. Over a half of Acinetobacter spp, Stenotrophomonas maltophilia, Klebsiella pneumoniae, and Escherichia coli showed resistant to fluoroquinolone.
Conclusion
This study shows the seriousness of antimicrobial resistance and the importance of infection control in the lCU in Korea. This study should provide a theoretical strategy to enforce the infection control.
MeSH Terms
-
Acinetobacter
Cross Infection*
Enterococcus faecalis
Enterococcus faecium
Escherichia coli
Hospitals, Teaching
Hospitals, University*
Imipenem
Infection Control
Intensive Care Units*
Critical Care*
Klebsiella pneumoniae
Korea*
Methicillin
Pneumonia, Ventilator-Associated
Prospective Studies
Pseudomonas aeruginosa
Staphylococcus aureus
Stenotrophomonas maltophilia
Urinary Tract
Urinary Tract Infections
Vancomycin
Imipenem
Methicillin
Vancomycin
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